Kimball County Manor

810 East 7th Street · Kimball, NE · 69145 · 3082354693

49 certified beds Government - County

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

61% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 31
Serious harm & abuse 20% 40
Staffing 20% 59
Federal penalties 15% 70
Trend 10% 30
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.723.48 min · 4.1 strong
RN hours / resident-day0.400.55–0.75
Weekend hours / resident-day3.12≈ weekday level
Nursing turnover / year61%median 45%
Fines (3-yr window)1 · $27,606

Inspection citations (27 in the current record)

  • Potential for harm · E August 27, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 15, 2025 · Quality of Life and Care

  • Immediate jeopardy · J April 21, 2025

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 15, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F April 21, 2025

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected May 15, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 21, 2025

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 15, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 21, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 21, 2025

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected May 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 21, 2025

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected May 15, 2025 · Quality of Life and Care

  • Potential for harm · F April 21, 2025

    Observe each nurse aide's job performance and give regular training.

    Corrected May 15, 2025 · Nursing and Physician Services

  • Potential for harm · D April 21, 2025

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected May 15, 2025 · Pharmacy Service

  • Potential for harm · F April 21, 2025

    Provide and implement an infection prevention and control program.

    Corrected May 15, 2025 · Infection Control

  • Potential for harm · F April 21, 2025

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Corrected May 15, 2025 · Administration

  • Potential for harm · F April 21, 2025

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected May 15, 2025 · Nursing and Physician Services

  • Potential for harm · D May 7, 2024

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected June 8, 2024 · Resident Rights

  • Potential for harm · D May 7, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected June 8, 2024 · Quality of Life and Care

  • Potential for harm · E May 7, 2024

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected June 8, 2024 · Pharmacy Service

  • Potential for harm · E May 7, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected June 8, 2024 · Pharmacy Service

  • Potential for harm · F May 7, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 8, 2024 · Nutrition and Dietary

  • Potential for harm · F May 7, 2024

    Provide and implement an infection prevention and control program.

    Corrected June 8, 2024 · Infection Control

  • Potential for harm · F May 7, 2024

    Implement a program that monitors antibiotic use.

    Corrected June 8, 2024 · Infection Control

  • Potential for harm · D May 7, 2024

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected June 8, 2024 · Infection Control

  • Potential for harm · D May 7, 2024

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected June 8, 2024 · Infection Control

  • Potential for harm · D May 7, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 8, 2024 · Quality of Life and Care

  • Potential for harm · E March 28, 2023

    Ensure each resident receives an accurate assessment.

    Corrected April 24, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D March 28, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 24, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D March 28, 2023

    Provide or obtain dental services for each resident.

    Corrected April 24, 2023 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
April 21, 2025Fine$27,606

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data. See the whole state.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285256 · certified since July 1, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.